Organization
VEIN SPECIALISTS OF ALASKA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH TY BELL MD (OWNER)
(907) 631-3799
Entity
Organization
Contact information
Practice address
3035 E PALMER WASILLA HWY STE 601, WASILLA, AK 99654-7279
(907) 631-3799
(907) 631-4132
Mailing address
2521 E MOUNTAIN VILLAGE DR, SUITE B-437, WASILLA, AK 99654-7373
(907) 357-2005
(907) 631-4132
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
6942
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
992407
AK STATE
AK
Enumeration date
07/24/2013
Last updated
06/14/2019
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